IISE ANNUAL CONFERENCE AND EXPO 2024

STUDENT VOLUNTEER REGISTRATION FORM

Early Bird Advanced Standard
REGISTRATION FEES Before Feb. 17 - Rate Continuing Education Units (CEUs) (Forms will be at the conference registration desk)
Feb. 17 April 30 May 1-21

STUDENT MEMBER
Please complete:
$335 $390 $450
VOLUNTEER REGULAR* Mr. Mrs. Ms. Dr.
Last/Surname | First:
STUDENT NON-MEMBER
$380 $435 $495
VOLUNTEER REGULAR* Preferred first name on badge:
Title:
STUDENT MEMBER
$235 $290 $350
VOLUNTEER BAG STUFFING* Company:
Please check one: Company address Home address
STUDENT NON-MEMBER
$280 $335 $395
VOLUNTEER BAG STUFFING* Address:

All prices are in U.S. dollars (USD). City: State/Prov Zip:

*Regular Student Volunteer must agree to work 2 three-hour shifts. Country:

**Bag Stuffing Volunteer must agree to assist with bag stuffing on Friday, May 17
Phone : Fax:
Not a student member? Join now to save on conference registration fees and enjoy addi-
tional member benefits and savings immediately. Or, As a non-member, fax in registration E-mail:
form accompanied by documentation showing full-time student status. A copy of your
student ID will not be accepted. Fax: (770) 441-3295 Yes, I require special assistance services. Email your request to cs@iise.org.

SUNDAY WELCOME RECEPTION Method of Payment: (Conference fees are due in full at registration in U.S. currency only.)
RESERVE 1 COMPLIMENTARY TICKET FOR THE OPENING NIGHT RECEPTION Check – made payable to IISE
SUNDAY, MAY 19, 6:15 P.M. – 8 P.M.
A check for $ is enclosed. Check #
PLEASE RESERVE ADDITIONAL TICKET(S) AT A COST OF $55 EACH Credit card – An invoice will be emailed to you once the registration
form has been processed.
ADDITIONAL EVENTS NOT INCLUDED IN YOUR REGISTRATION FEE:
Cancellations and Substitutions:
NEW FACULTY COLLOQUIUM
Cancellations must be made in writing and faxed to (770) 441-3295
SATURDAY, MAY 18, 8 A.M. – 5 P.M. – $50
(PRIOR APPROVAL BY CIEADH REQUIRED) or mailed to IISE, 3577 Parkway Lane, Suite 200, Norcross, GA 30092.
See website for refund deadline. Contact customer service at
STUDENT SPONSORSHIP cs@iise.org, (770) 449-0460, x102, or (800) 494-0460.
I WISH TO PROVIDE ASSISTANCE TO A STUDENT TO HELP DEFRAY
EXPENSES SO THAT THEY MAY ATTEND THE IISE ANNUAL CONFERENCE.
$30 $20 $1O

Please return competed registration form by email, fax or mail to:

cs@iise.org (770) 441-3295
IISE, 3577 Parkway Lane, Suite 200, Norcross, GA 30092